ReviewJournal of advanced nursing2025
Early warning tools and clinician 'agency' for strengthening safety culture: An integrative review.
Review in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
4 citing papers in PubMed.
- A Concept Analysis of the Dynamics of Risk, Midwifery Agency and the Maternity Early Warning Tool.Journal of advanced nursing · 2026Article
- Early warning tools and clinician 'agency' for strengthening safety culture: An integrative review.Journal of advanced nursing · 2025Review
- Critical Points of Risk in Registered Nurses' Use of a National Early Warning Score-Perceptions and Challenges.Journal of advanced nursing · 2025Article
- Navigating Quality and Innovation: Actor-Network Theory and Hybrid Assemblages in Midwifery Practice, Implications of Maternity Early Warning Tools and Artificial Intelligence.Nursing inquiry · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimIdentify and analyse literature investigating nurses' and midwives' use of early warning tools during the care of adult inpatients.
designAn integrative literature review.
methodsWhittemore and Knafl's (2005) framework guided this integrative review. PubMed, CINAHL, EMCARE and Google Scholar were systematically searched. The authors assessed the methodological quality of 21 papers meeting inclusion criteria and thematically analysed key data.
resultsThree main themes were identified, each with further sub-themes.
conclusionEarly warning tools operate within various systems and cultural contexts. However, their potential for improved patient safety may be hindered. Protocols influencing tool usage may make nurses and midwives distanced from patients and their expertise. For early warning tools to enhance patient safety, assessing their integration into practice is crucial to maximizing effectiveness. IMPACT: This review emphasizes the importance of integrating human relationships with early warning tools for patient safety. PATIENT OR PUBLIC CONTRIBUTION: This integrative literature review does not include patient or public input. IMPLICATIONS FOR PRACTICE/POLICY: Adapting early warning tools to balance standardization for safety and efficiency and promoting nurses' and midwives' expertise and autonomy is required to optimize delivery of quality care and uphold patient safety. REPORTING
methodThe Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines were used.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.